Frequent use of primary health care service in Greenland: an opportunity for undiagnosed disease case-finding.

Abstract:

OBJECTIVES:To estimate the age- and gender-specific consultation rates of patients who availed primary health care service in Greenland and to analyse contact patterns among patients in Nuuk. DESIGN:Observational and cross-sectional register study using data captured from the medical records. MATERIALS AND METHODS:The number of patients specified by age and gender who had contacted the primary health care centres within the last year was identified using a statistic module applied to the electronic medical records system. The population as it was on the 1st of January 2011 was used as the background population. The age- and gender-specific consultation rates were calculated. Review of most recent contact was performed in a subsample of patients from Nuuk, and information of the type of contact and diagnoses was obtained. RESULTS:Eighty-three percent of the population in Greenland had been in contact with the primary health care centre within the last year. Females were more frequent users than males. A subsample of 400 patients in Nuuk was identified. Personal contact was the most frequent type of consultation (75.8%), followed by telephone (14.8%) and e-mail (9.8%) consultations. Musculoskeletal symptoms accounted for the most frequent bases for diagnoses. CONCLUSION:More than 80% of the whole population has been in contact with the primary health care system within the last year. This indicates that opportunistic case-finding of chronic diseases such as diabetes, hypertension, etc. providing a possible strategy for decreasing the number of undiagnosed cases.

authors

Pedersen ML,Rolskov A,Jacobsen JL,Lynge AR

doi

10.3402/ijch.v71i0.18431

subject

Has Abstract

pub_date

2012-07-24 00:00:00

pages

18431

eissn

1239-9736

issn

2242-3982

pii

18431

journal_volume

71

pub_type

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